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Surgical treatment is provided in the Official Coding Guidelines as an example of active treatment for the selection of the 7th character for initial encounter for codes in Chapter 19. If a patient...

Assign the 7...

The patient presents for surgical treatment of a malunion of a fracture of the humeral greater tuberosity. This is the first time the malunion is being surgically treated, and the patient did not d...

Assign the 7...

The patient had previously undergone open reduction internal fixation of a fracture. Three days post-discharge the patient is readmitted due to pain at the fracture site. An x-ray noted improper al...

The patient ...

When a Rh negative mother delivers at term without complication, and she is administered Rhogam prophylactically during the admission, would code Z31.82, Encounter for Rh incompatibility status, be...

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One of the examples on the use of the 7th character published in the First Quarter 2015 issue of Coding Clinic page 8 indicated that “the activity code is not assigned again as activity codes are...

Yes, “init...

Does the medical documentation have to state “old CVA” in order to use the sequelae (I69) codes for the LTC admission?

No, there is...

A patient is admitted to the LTC facility following treatment of an acute CVA. The patient made
a complete recovery from the CVA. She was diagnosed with progressive senile dementia, coronary art...

Any of the c...

The patient is transferred to LTC for physical therapy following a hospitalization for treatment of
an acute pelvic and clavicular fracture. How should the LTC stay be coded?

When a patie...

A patient is admitted to LTC following hospital treatment of a fracture of the right femur. The reason for the LTC admission is to allow the patient to regain strength and the fracture to heal. Wha...

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A resident in LTC facility develops a urinary tract infection (UTI), which is treated and resolved during the LTC stay. Should the UTI be coded?

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